Table 3. Selected trials of radio(chemo)therapy combined with antiangiogenic agents in NSCLC.
Therapy | Trial ID, ref. | Phase | No pts/stage | Induction | Concurrent | Consolidative/maintenance | RT | Median OS (months) | Toxicity |
---|---|---|---|---|---|---|---|---|---|
Tha | ECOG 3598, Hoang et al., (69) | III | 546/III | Arm A: Pac + Car | Arm A: Pac/Car | Arm A: – | 60 Gy/30 fx | Arm A: 15.3 | Arm A: G≥3 thromboembolic events 3%, fatigue 6%, sensory neuropathy 6%, dizziness 1%, decreased consciousness 1% |
Arm B: Pac + Car + Thalidomide | Arm B: Pac/Car + Tha | Arm B: thalidomide | Arm B: 16 | Arm B: G≥3 thromboembolic events 11%, fatigue 11%, sensory neuropathy 11%, dizziness 6%, decreased consciousness 5%, no increased radiation-related toxicities | |||||
Bev | Lind et al., (70) | I | 6/III | Cis-based | Bev 7.5 mg/kg, 15 mg/kg | – | 66 Gy/33 fx | N/A | G3 pneumonia 2 pts, G2 pneumonia 2 pts |
Bev | Socinski et al., (72) | II | 45/III | Pac + Car + Bev | Pac/Car + Bev +/− erlotinib | Bev +/− erlotinib | 74 Gy/37 fx | 18.4 | G3/4 esophagitis 29%, G≥3 esophagitis 54%, tracheoesophageal fistula 1 pt |
Bev | SWOG S0533, Wozniak et al., (73) | Low risk strata: 16 | – | Eto/Cis+ Cohort 1: no Bev | Doc+ Bev | 64.8 Gy/36 fx | 46 | Low risk strata—CRT. G3/4 neutropenia 4 pts, esophagitis 1 pt, Consolidation phase: G3 pneumonitis 1 pt | |
Cohort 2: Bev d. 15,36,57 | |||||||||
High risk strata: 12/III | Cohort 3: Bev d. 1,22,43 | 17 | High risk strata—CRT. G3/4 neutropenia 6 pts, G3 pneumonitis 1 pt, esophagitis 1 pt, Consolidation phase: G5 hemorrhage 2 pts, G3 hemorrhage 1 pt, G3 pneumonitis 1 pt |
Ref, reference; Tha, Thalidomide; Bev, bevacizumab; pt, patient; Pac, Paclitaxel; Cis, Cisplatin; Car, Carboplatin; Doc, Docetaxel; Eto, Etoposide.